Laserfiche WebLink
<br />04/2Q/2006 15:55 FAX 14024714429 <br /> <br />NEBRASKA Dee <br /> <br />I4I 003/012 <br /> <br />~ <br /> <br />- Form 668 (Y)(c) <br />(Rell. February 20041 <br /> <br />1872 <br /> <br />Department of the Treasury - Internal Revenue Service <br />Notice of Federal Tax Lien <br /> <br />200603.543 <br /> <br />Area: Serial Number <br />SMALL BUSINESS/SELF EMPLOYED AREA #4 <br />Uen Unit Phone: (800) 829-3903 280996906 <br /> <br />h provided by section 632., 6322, and 6323 of the Internal Revenue <br />Code, we are giving a notice that taxes (including interest and penalties) <br />have been assessed against the following~named taxpayer. We have made <br />a demand for payment of this liability, but it remains unpaid. Therefore, <br />there is a lien' in favor of the United Stat~s on all property and rights to <br />property belonging to this taxpayer fOf the amount of these taxes, and <br />additional penalties" interest, and costs that may accrue. -, <br /> <br />Name of Taxpayer ROXANNE D ,GUTIERREZ <br /> <br />For Optional Use by Recording Office <br /> <br />\111111\\1\\1 <br /> <br /> <br />9906449Z64-8 Pas. 1 <br />~~i~~R~i/~g~= ~2:37 p,., <br /> <br />Residence <br /> <br />209 N ELM ST APT 3 <br />GRAND ISLAND, NE 68801-5980 <br /> <br />IMPORTANT RELEASE INFORMATION: For each assessment listed below, <br />unless notice of the lien is refiled by the datEi given in column (e), this notice shall, <br />on the day following such date, operate as a certificate of release as defined <br />in IRe 6325(a). <br /> <br />Kind of Tax <br />(a) <br />1040 <br /> <br />Tax Period <br />Ending <br />(b) <br />12/31/2002 <br /> <br />Identifying Number <br />(e) <br />XXX-XX-0955 <br /> <br />Date of <br />Assessment <br />(d) <br />98/09/2004 <br /> <br />Last Day for <br />Refillng <br />(e) <br />09/08/20'14 <br /> <br />Unpaid Balance <br />of Assessment <br />(f) <br />6558.55 <br /> <br />Place of Filing <br /> <br />Register of Deeds <br />Hall POBOX 1692 <br />Grand Island, NE 68802-1692 <br /> <br />Total $ <br /> <br />6558_55 <br /> <br />This notice was prepared and signed at <br /> <br />S'r PAUL, MN <br /> <br />I on this, <br /> <br />the <br /> <br />24th day of March <br /> <br />2006 <br /> <br />Signature <br />for REGINA OWENS <br /> <br /> <br />Title <br />ACS <br />(800) 829~3903' <br /> <br />24-00-0008 <br /> <br />(NOTE: Certificate of officer authorized by law to take llcknowledgment Is not essential to the validity of Notice of Federal Tax lien ~' -"D- . <br />.Rev. Rul. 71-466, 1971 - 2 C.B. 409) Form 668{Y){c) (Rev. 2-2004) <br />D.._ . _ 1C....t Rv R...nrdinll Office rllT Nn F\()()?!'i)( <br />